Strategies to combat COVID-19 in long -term care facilities for older people

This is a qualitative study based on documentary analysis of the collection produced by the Intersectoral Committee on Monitoring Long-Term Care for older people in the state of Bahia, from April 2020 to June 2021. Data analysis was based on Bardin's content analysis.

Results

The commission produced seven documents in the period analyzed. Two thematic categories emerged: Intersectoral Networks and Telemonitoring of Long-Term Care Facilities for the Elderly.

Conclusion

The coordination in an intersector network and the telemonitoring carried out by the Intersector Committee on Monitoring Long-Term Care Facilities were the main strategies to fight COVID-19 in these institutions. The need to implement effective public policies to support long-term care facilities for older people is highlighted.

Keywords:
COVID-19; Homes for the aged; Geriatric nursing

DOCUMENT	CATEGORIES
DOCUMENT	Intersectoral Coordination	Telemonitoring of LTC Facilities (ILPIs)
Bulletin No 1 - B1	- Mapping of ILPIs in Salvador - Meeting with Civil Defense - Coordination meeting with Sanitary and Epidemiological Surveillance - Technical visits in ILPIs with positive cases for COVID-19 - Coordination meeting between the State Health Operational Committee and the Municipal Strategic Operational Committee for technical-scientific alignment of the care flows proposed by the Commission- Elaboration of transfer flow of institutionalized elderly with positive tests;	- Telemonitoring of ILPIs - Teleconsulting service for the Primary Health Care team - Testing in ILPIs after identification of positive cases in Telemonitoring
Bulletin No 2 - B2	- Participation in public hearing conducted by the City Council of Salvador regarding ILPIs. - Coordination for health actions, in supportive assistance in complementary demands; - Coordination with Municipal Departments of Social Assistance, Government Agency for Law Enforcement, Public Defender’s Office and Elderly Rights Councils; - Meeting with Sanitary and Epidemiological Surveillance; - Technical visit to ILPIs with positive cases for COVID-19.	- Telemonitoring of ILPIs; - Testing in ILPIs after identification of positive cases in Telemonitoring; - Webconferences to monitor ILPIs included in a project developed within the scope of m Todos pela Saúde Project - Itaú Bank.
Bulletin No 3 - B3	- Partnership with the Brazilian Society of Geriatrics and Gerontology - Bahia section for the preparation of guiding technical notes; - Webconference with the Center for Institutional Supporters of the Primary Care Board/ State Department of Health for the coordination of actions with the Regional Health Centers and respective municipalities.	- Telemonitoring of ILPIs;
Bulletin No 4 - B4	- Technical visits in ILPIs with positive cases for COVID-19; - Definition of isolation conditions in ILPIs together with health surveillance teams, monitoring of health conditions by the territory team; - Transfers to hospital units when there is worsening of cases; - Coordination with SAMU; - Coordination with Municipal Departments of Social Assistance.	- Telemonitoring of ILPIs; - Testing in ILPIs after identification of positive cases in Telemonitoring.
Report R1	- Coordination with the municipalities for health actions, in supportive assistance; - Coordination with Municipal Departments of Social Assistance, Government Agency for Law Enforcement, Public Defender’s Office and Elderly Rights Councils; - Supportive coordination with the State Central Laboratory for testing elderly people with RT-PCR in ILPIs; - Flowchart with guidance on Covid-19 in residents in ILPIs.	- Telemonitoring of ILPIs; - Testing in ILPIs after identification of positive cases in Telemonitoring.
Technical Note 27 - NT A	- Flowchart with guidance on Covid-19 in residents in ILPIs; - Recommendations for isolation and identification of suspected cases.	Non-identified
Technical Note 83 - NT B	- Guidelines for visits; - Coordination with the local Health Surveillance team; - Notification of suspected cases.	Non-identified

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[1] Corresponding author:
Helena Patáro de Oliveira Novaes E-mail: helenanovaes@ufba.br